| Doctor Name: | EDWARD R VARGO |
| NPI Number: | 1043295843 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPAC |
| License Number: | 0069691 |
| Business Practice Address: | 550 Orchard Park Rd Ste A105 West Seneca, NY - 142242646 |
| Business Phone Number: | 7166776000 |
| Business Fax Number: | 7166776006 |
| Mailing Address: | 550 Orchard Park Rd, Ste A105 WEST SENECA |
| State: | NY |
| Postal Code: | 142242646 |
| Phone Number: | 7166776000 |
| Fax Number: | 7166776006 |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 0069691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |